Principles of Drug Action: Drug Metabolism I
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Questions and Answers

Which enzyme is involved in the reduction of aldehydes to alcohols during metabolic pathways?

  • Alcohol dehydrogenase
  • Aldehyde dehydrogenase
  • Aldo-keto reductase (correct)
  • Azoreductase
  • What is the primary function of Alcohol dehydrogenase (ADH) in Phase I metabolic reactions?

  • Oxidize aldehydes to carboxylic acids
  • Hydrolyze esters into acids and alcohols
  • Reduce aldehydes to alcohols
  • Convert alcohols into aldehydes (correct)
  • Which functional groups are least likely to undergo reduction in Phase I metabolic pathways?

  • Nitro groups (correct)
  • Aldehydes
  • Hydroxyl groups
  • Carbonyl groups
  • What type of metabolic pathway is represented by the conversion of alcohols into their corresponding aldehydes?

    <p>Oxidation</p> Signup and view all the answers

    Which pathway involves the removal of functional groups from a compound, specifically through transformations like desulfuration?

    <p>Sulfur dealkylation</p> Signup and view all the answers

    Phase I metabolic reactions generally involve which of the following processes?

    <p>Reduction and oxidation</p> Signup and view all the answers

    What is the function of Aldehyde dehydrogenase (ALDH) in the context of metabolic pathways?

    <p>Oxidize aldehydes to carboxylic acids</p> Signup and view all the answers

    The reduction of azo compounds in metabolic pathways is primarily catalyzed by which enzyme?

    <p>Azoreductase</p> Signup and view all the answers

    In the context of metabolic pathways, what is the primary outcome of a reduction reaction involving an aldehyde?

    <p>Formation of a primary alcohol</p> Signup and view all the answers

    What enzyme is primarily responsible for the reduction of azo compounds in metabolic pathways?

    <p>Azoreductase</p> Signup and view all the answers

    Which of the following reactions is considered an example of oxidative dehalogenation?

    <p>Removal of halogen from a carbon compound to form an alcohol</p> Signup and view all the answers

    What is likely the major metabolic pathway for converting duloxetine during its phase I reaction?

    <p>Oxidation</p> Signup and view all the answers

    What type of bond is primarily involved in carbon-oxygen bond oxidation reactions?

    <p>C-O bond</p> Signup and view all the answers

    Which of the following represents a characteristic of sulfur dealkylation?

    <p>Utilizes cytochrome P450 enzymes</p> Signup and view all the answers

    In terms of metabolic pathways, what does the process of desulfuration primarily involve?

    <p>The removal of sulfur from a compound</p> Signup and view all the answers

    Which metabolic process is essential in the detoxification of reactive sulfur species?

    <p>Oxidation</p> Signup and view all the answers

    What is the primary function of Phase I metabolism in drug metabolism?

    <p>To convert lipophilic substances into polar derivatives</p> Signup and view all the answers

    Which of the following reactions is NOT typically categorized under Phase I metabolic pathways?

    <p>Conjugation</p> Signup and view all the answers

    Which enzyme is primarily responsible for catalyzing Phase I oxidation reactions?

    <p>Cytochrome P450</p> Signup and view all the answers

    During oxidative dehalogenation in Phase I metabolism, what is typically removed from the drug molecule?

    <p>A halogen atom</p> Signup and view all the answers

    What is the result of Phase I N-dealkylation in drug metabolism?

    <p>Formation of a less active metabolite</p> Signup and view all the answers

    Which of the following functional groups may be introduced or unmasked during Phase I metabolic reactions?

    <p>Carboxylic acid group (-COOH)</p> Signup and view all the answers

    What is the role of reduction in Phase I metabolism?

    <p>To convert oxygen-containing compounds into less polar derivatives</p> Signup and view all the answers

    Which metabolic pathway is characterized by multiple sequential reactions often requiring competing pathways?

    <p>Phase I metabolism</p> Signup and view all the answers

    Study Notes

    Principles of Drug Action: Chemical Basis of Drug Metabolism I

    • Lecture 24 covers the chemical basis of drug metabolism.
    • Medicinal chemistry focuses on drug-target interactions, drug discovery, development, and optimization.
    • Physicochemical properties of drugs include functional groups (FG), acidity/basicity, salt and solubility, and chirality.
    • Drug targets include enzymes and receptors.
    • Drug metabolism is crucial for terminating drug activity, determining the duration and intensity of the pharmacological response, and converting prodrugs to active drugs.
    • Drug metabolism primarily occurs in the liver, but also in other organs (GI, kidney, lung, skin, CNS, placenta, fetus).
    • Microsomes, cytosol, and mitochondria are involved in drug metabolism.
    • The first-pass effect describes the metabolism of orally absorbed drugs in the liver before systemic distribution.

    Drug Metabolism Phases

    • Drug metabolism occurs in two main phases: Phase I and Phase II.
    • Phase I reactions (oxidation, reduction, hydrolysis) add polar handles to the molecule (e.g. OH, -NH2, -COOH).
    • Cytochrome P450 (CYP450) enzymes are crucial for Phase I oxidation reactions.
    • Phase II reactions involve conjugation (adding endogenous compounds) to the drug molecules.
    • Phase I reactions often prepare molecules for Phase II reactions.

    Pharmacokinetics: ADME

    • Pharmacokinetics describes how the body handles drugs.
    • Absorption, Distribution, Metabolism, and Excretion (ADME) are key concepts of pharmacokinetics.
    • Absorption (how drugs enter the body) and Distribution (where drugs go in the body) are key processes.
    • Metabolism (how drugs are broken down) and Excretion (how drugs leave the body) are essential processes following distribution.
    • The liver plays a key role in drug metabolism.

    Drug Distribution

    • Drug distribution happens rapidly from blood vessels to tissues and organs through leaky blood vessels.
    • Drugs cross blood vessel walls quickly through gaps between cells.
    • Drug distribution fills the entire blood supply within 1 minute of absorption..
    • Uneven distribution around the body based on blood supply.
    • Distribution, binding to macromolecules, storage in fat tissue (e.g. barbiturates) or bone cause Blood concentration to drop rapidly after absorption..

    CYP450

    • CYP450 enzymes catalyze oxidation and reduction reactions.
    • CYP450 contains a heme molecule bound to an iron atom.
    • CYP450's role in drug metabolism involves inserting oxygen atoms into drug molecules and is key to the process.
    • Different CYP450 isoforms exist, influencing patient variability in drug metabolism and potential side-effects.
    • The mechanism of CYP450 enzymatic oxidation involves the addition of oxygen molecules and the addition of hydrogens based on the steps (reduction).

    Drug-Drug & Drug-Food Interactions

    • Drugs impacting CYP450 activity can affect the metabolism of other drugs, resulting in variations in needed dosages.
    • Foods like grapefruit juice may inhibit CYP450 activity, altering drug metabolism and dosages..
    • Certain food and drug interactions exist.

    Metabolic Pathways: Phase I Reactions

    • Phase I metabolism converts chemicals to more polar metabolites by introducing or unmasking polar functional groups.
    • This phase includes oxidation, reduction, and hydrolysis.
    • Oxidation reactions add oxygen to or remove hydrogen from molecules, increasing their polarity. Reduction reactions add hydrogen atoms.. Hydrolysis reactions break bonds and add water molecules to metabolites.

    Metabolic Pathways: Phase II Reactions

    • Phase II reactions involve conjugation.
    • Endogenous compounds bind to metabolites to further increase their polarity.
    • This phase makes the metabolites more readily excreted from the body.

    Drug Metabolism: Oxidation of Specific Functional Groups

    • Aromatic rings, alkenes, aliphatic/ alicyclic carbon atoms, benzylic/ allylic carbon atoms, imine/carbonyl bonds, and amine, amide, and aromatic nitrogen atoms can undergo oxidation reactions by CYP450 enzymes..

    Drug Metabolism: Reduction Reactions

    • Reduction reactions involve adding hydrogen to or removing oxygen from metabolized substances by enzymes acting as biocatalysts.

    Drug Metabolism: Hydrolysis

    • Hydrolysis involves the addition of a water molecule to break a bond, typically occurs with esters, amides, and cyclic analogs.

    Prodrugs

    • Prodrugs are inactive compounds that are metabolized into active forms in the body.
    • Prodrugs are often used to improve membrane permeability, lower the water solubility of foul-tasting drugs, mask toxicity/side effects, and enhance water solubility for intravenous administration.

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    Related Documents

    Drug Metabolism Lecture 24 PDF

    Description

    This quiz explores the chemical basis of drug metabolism as presented in Lecture 24. It delves into drug-target interactions, the phases of drug metabolism, and the significance of physicochemical properties in medicinal chemistry. Gain insights into the importance of drug metabolism in pharmacology and therapeutic responses.

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